The Antimicrobial Peptide CRAMP Is Essential for Colon Homeostasis by Maintaining Microbiota Balance

Teizo Yoshimura, Mairi H. McLean, Amiran K. Dzutsev, Xiaohong Yao, Keqiang Chen, Jiaqiang Huang, Wanghua Gong, Jiamin Zhou, Yi Xiang, Jonathan Badger, Colm Ohuigin, Vishal Thovarai, Lino Tessarollo, Scott K. Durum, Giorgio Trinchieri, Xiu-wu Bian, Ji Ming Wang

Research output: Contribution to journalArticlepeer-review

55 Citations (Scopus)


Commensal bacteria are critical for physiological functions in the gut, and dysbiosis in the gut may cause diseases. In this article, we report that mice deficient in cathelin-related antimicrobial peptide (CRAMP) were defective in the development of colon mucosa and highly sensitive to dextran sulfate sodium (DSS)-elicited colitis, as well as azoxymethane-mediated carcinogenesis. Pretreatment of CRAMP-/-mice with antibiotics markedly reduced the severity of DSS-induced colitis, suggesting CRAMP as a limiting factor on dysbiosis in the colon. This was supported by observations that wild-type (WT) mice cohoused with CRAMP-/-mice became highly sensitive to DSS-induced colitis, and the composition of fecal microbiota was skewed by CRAMP deficiency. In particular, several bacterial species that are typically found in oral microbiota, such asMogibacterium neglectum,Desulfovibrio piger, andDesulfomicrobium orale, were increased in feces of CRAMP-/-mice and were transferred to WT mice during cohousing. When littermates of CRAMP+/-parents were examined, the composition of the fecal microbiota of WT pups and heterozygous parents was similar. In contrast, although the difference in fecal microbiota between CRAMP-/-and WT pups was small early on after weaning and single mouse housing, there was an increasing divergence with prolonged single housing. These results indicate that CRAMP is critical in maintaining colon microbiota balance and supports mucosal homeostasis, anti-inflammatory responses, and protection from carcinogenesis.

Original languageEnglish
Pages (from-to)2174-2185
Number of pages12
JournalThe Journal of Immunology
Issue number6
Early online date12 Feb 2018
Publication statusPublished - 15 Mar 2018

Bibliographical note

The authors thank Dr. J. J. Oppenheim for reviewing the manuscript and Ms. Sharon Livingstone for secretarial assistance. The technical assistance provided by CIP Mouse Core and by Ms. Loretta Smith, NCI, and the staff of LASP, Leidos, Frederick National Laboratory for Cancer Research, is gratefully acknowledged.

Footnotes: This project was funded in part by federal funds from the NCI, NIH, under Contract No. HHSN261200800001E and by the Intramural Research Program of the NCI, NIH.


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